StuWilli, Author at Journal of Urgent Care Medicine

Take Patient Satisfaction to the Next Level

Urgent message: Companies like Apple and Nordstrom have raised the quality of customer experience to an art form, one that urgent cares would do well to emulate. ALAN A. AYERS, MBA, MACC, Experity Introduction Urgent care is positioned as a consumer-focused delivery channel for low-acuity medical services differentiated from hospital emergency departments and primary care practices by retail-facing locations, extended evening and weekend hours, and walk-in convenience. As with airlines, restaurants, and other service businesses, …

A Surprising Cause for “Pregnancy”

Urgent message: When a test does not confirm a patient’s theory about the cause of her symptoms, both patient and provider must look elsewhere. SEAN MCNEELEY, MD Introduction When a mother of three complains of symptoms of pregnancy, the test usually confirms that she is right. Occasionally, however, the results are surprising, as this case illustrates. Case Presentation WM, a 28-year-old female, presented to an urgent care with concerns that she might be pregnant and …

The Case of a 32-year-old Woman With Headache

When an Uncommon—Potentially Catastrophic—Diagnosis Is Masked by a Common Complaint In Bouncebacks, which appears quarterly in JUCM, we provide documentation of an actual patient encounter, discuss patient safety and risk management principles, and then reveal the patient’s “bounceback” diagnosis. This Bouncebacks case is unique in that it also went to trial, excerpts from which are also presented. This case is adapted from the Bouncebacks! Medical and Legal (Anadem Publishing) by Michael B. Weinstock, MD, and …

Pediatric Foreign Bodies

Urgent message: A variety of objects find their way into the ears, noses, and throats of children. Some can be lethal and require ED or specialist referral. Others can be safely removed in an urgent care setting. ANN MARY BACEVICE, MD In children who are brought to an urgent care for treatment, foreign bodies are common. Especially if they are between the ages of 18 months and four years, children will insert objects into their …

Primary Care Physicians…the New Middle Class?

Lee A. Resnick, MD, FAAFP With all the renewed talk of tax hikes on the “rich” to pay for everything from healthcare to job creation, I can’t help but see the with anger over how we define rich in this country. The top tax rate targets incomes of $150,000-$200,000. This despite a rapidly growing “ultrarich” class that consists of earners between $1 million and untold billions. Now millionaires and billionaires pay less as a percentage …

22-year-old suffers fall onto right shoulder

This otherwise healthy 22-year-old patient fell and landed directly on the right shoulder. The presentation included marked local swelling and decreased range of motion. View the image taken and consider what your diagnosis would be.

Clinical Challenge 2: September, 2011

The patient, an otherwise healthy 10-year-old, fell and suffered a blow to the shoulder. The patient presented with a decreased range of motion. View the image taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

26-year-old presents limited range of motion in shoulder

The patient, an otherwise-healthy 26-year-old, suffered a blow to the left shoulder and presented with a limited range of motion. View the image taken and consider what your diagnosis and next steps would be.

September 2011

Abstracts in Urgent Care: September, 2011

Antibiotics Are Not Equal to Appendectomy for Appendicitis Keypoint: The incidence of peritonitis at 30 days was higher in the antibiotic group than in the surgery group; 68% of patients treated with antibiotics did not require appendectomy Citation: Vons C, Barry C, Pautrat K, etal. Amoxicillinplus clavulanic acid versus appendicectomy for treatment of acute uncomplicated appendicitis: an open-label, non-inferiority, ran- domised controlled trial. Lancet. 2011;377(9777): 1573-1579. Four recent randomized trials suggest that antibiotics alone can …

Login to JUCM